Flow rate verification monitor for fluid-cooled microwave ablation probe

ABSTRACT

A microwave ablation system includes an antenna assembly configured to deliver microwave energy from an energy source to tissue and a coolant source operably coupled to the energy source and configured to selectively provide fluid to the antenna assembly via a fluid path. The system also includes a controller operably coupled to the energy source and a piezoelectric transducer operably coupled to the fluid path to detect a force of fluid flow through the fluid path. The piezoelectric transducer is configured to generate a signal based on the detected force of fluid through the fluid path. The controller is configured to control the energy source output based on the generated signal.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation application of U.S. patentapplication Ser. No. 14/923,486 filed on Oct. 27, 2015, now U.S. Pat.No. 9,668,812, which is a continuation application of U.S. patentapplication Ser. No. 12/786,671 filed on May 25, 2010, now U.S. Pat. No.9,192,436, the entire contents of each of which are incorporated hereinby reference.

BACKGROUND

Technical Field

The present disclosure relates generally to microwave ablationprocedures that utilize microwave surgical devices having a microwaveantenna that may be inserted directly into tissue for diagnosis andtreatment of diseases. More particularly, the present disclosure isdirected to a system and method for monitoring correct system operationof a microwave ablation system utilizing a piezoelectric device.

Background of Related Art

In the treatment of diseases such as cancer, certain types of cancercells have been found to denature at elevated temperatures (which areslightly lower than temperatures normally injurious to healthy cells.)These types of treatments, known generally as hyperthermia therapy,typically utilize electromagnetic radiation to heat diseased cells totemperatures above 41° C., while maintaining adjacent healthy cells atlower temperatures where irreversible cell destruction will not occur.Other procedures utilizing electromagnetic radiation to heat tissue alsoinclude ablation and coagulation of the tissue. Such microwave ablationprocedures, e.g., such as those performed for menorrhagia, are typicallydone to ablate and coagulate the targeted tissue to denature or kill thetissue. Many procedures and types of devices utilizing electromagneticradiation therapy are known in the art. Such microwave therapy istypically used in the treatment of tissue and organs such as theprostate, heart, liver, lung, kidney, and breast.

One non-invasive procedure generally involves the treatment of tissue(e.g., a tumor) underlying the skin via the use of microwave energy. Themicrowave energy is able to non-invasively penetrate the skin to reachthe underlying tissue. However, this non-invasive procedure may resultin the unwanted heating of healthy tissue. Thus, the non-invasive use ofmicrowave energy requires a great deal of control.

Presently, there are several types of microwave probes in use, e.g.,monopole, dipole, and helical. One type is a monopole antenna probe,which consists of a single, elongated microwave conductor exposed at theend of the probe. The probe is typically surrounded by a dielectricsleeve. The second type of microwave probe commonly used is a dipoleantenna, which consists of a coaxial construction having an innerconductor and an outer conductor with a dielectric junction separating aportion of the inner conductor. The inner conductor may be coupled to aportion corresponding to a first dipole radiating portion, and a portionof the outer conductor may be coupled to a second dipole radiatingportion. The dipole radiating portions may be configured such that oneradiating portion is located proximally of the dielectric junction, andthe other portion is located distally of the dielectric junction. In themonopole and dipole antenna probe, microwave energy generally radiatesperpendicularly from the axis of the conductor.

The typical microwave antenna has a long, thin inner conductor thatextends along the axis of the probe and is surrounded by a dielectricmaterial and is further surrounded by an outer conductor around thedielectric material such that the outer conductor also extends along theaxis of the probe. In another variation of the probe that provides foreffective outward radiation of energy or heating, a portion or portionsof the outer conductor can be selectively removed. This type ofconstruction is typically referred to as a “leaky waveguide” or “leakycoaxial” antenna. Another variation on the microwave probe involveshaving the tip formed in a uniform spiral pattern, such as a helix, toprovide the necessary configuration for effective radiation. Thisvariation can be used to direct energy in a particular direction, e.g.,perpendicular to the axis, in a forward direction (i.e., towards thedistal end of the antenna), or combinations thereof.

Invasive procedures and devices have been developed in which a microwaveantenna probe may be either inserted directly into a point of treatmentvia a normal body orifice or percutaneously inserted. Such invasiveprocedures and devices potentially provide better temperature control ofthe tissue being treated. Because of the small difference between thetemperature required for denaturing malignant cells and the temperatureinjurious to healthy cells, a known heating pattern and predictabletemperature control is important so that heating is confined to thetissue to be treated. For instance, hyperthermia treatment at thethreshold temperature of about 41.5° C. generally has little effect onmost malignant growth of cells. However, at slightly elevatedtemperatures above the approximate range of 43° C. to 45° C., thermaldamage to most types of normal cells is routinely observed. Accordingly,great care must be taken not to exceed these temperatures in healthytissue.

In the case of tissue ablation, a high radio frequency electricalcurrent in the range of about 300 MHz to about 10 GHz is applied to atargeted tissue site to create an ablation volume, which may have aparticular size and shape. Ablation volume is correlated to antennadesign, antenna performance, antenna impedance, and tissue impedance.The particular type of tissue ablation procedure may dictate aparticular ablation volume in order to achieve a desired surgicaloutcome. By way of example, and without limitation, a spinal ablationprocedure may call for a longer, narrower ablation volume, whereas in aprostate ablation procedure, a more spherical ablation volume may berequired.

Microwave ablation devices utilize sensors to determine if the system isworking properly. However, without delivery of microwave energy, thesensors may indicate that the probe assembly status is normal. Further,defects in antenna assemblies may not be apparent except at high powers.As such, when microwave ablation system is tested using a low powerroutine a post manufacture defect may not be apparent. This isespecially important for high power microwave ablation devices, wherefailures may result in extremely high temperatures.

Fluid-cooled or dielectrically-buffered microwave ablation devices mayalso be used in ablation procedures to cool the microwave ablationprobe. Cooling the ablation probe may enhance the overall ablationpattern of antenna, and/or prevent damage to the antenna. However,during operation of the microwave ablation device, if the flow ofcoolant or buffering fluid is interrupted, the microwave ablation devicemay exhibit rapid failures due to the heat generated from the increasedreflected power.

SUMMARY

According to an embodiment of the present disclosure, a microwaveablation system includes an antenna assembly configured to delivermicrowave energy from an energy source to tissue and a coolant sourceoperably coupled to the energy source and configured to selectivelyprovide fluid to the antenna assembly via a fluid path. The system alsoincludes a controller operably coupled to the energy source and apiezoelectric transducer operably coupled to the fluid path to detect aforce of fluid flow through the fluid path. The piezoelectric transduceris configured to generate a signal based on the detected force of fluidthrough the fluid path. The controller is configured to control theenergy source output based on the generated signal.

According to another embodiment of the present disclosure, a microwaveablation system includes an antenna assembly configured to delivermicrowave energy from an energy source to tissue and a coolant sourceoperably coupled to the energy source and configured to selectivelyprovide fluid to the antenna assembly via a fluid path. The system alsoincludes a controller operably coupled to the energy source and aninsert disposed within the fluid path and configured to impart a forceon a piezoelectric transducer operably coupled to the antenna assemblythat is substantially equal to a force of fluid flow through the fluidpath. The piezoelectric transducer is configured to generate a signalbased on the force imparted thereon by the insert. The controller isconfigured to control the energy source output based on a comparisonbetween the generated signal and a predetermined range.

The present disclosure also provides for a method of detecting fluidflow through a microwave ablation system. The method includes the stepsof delivering microwave energy from a power source to tissue via anantenna assembly and supplying fluid from a coolant source to theantenna assembly via a fluid path. The method also includes the steps ofdetecting a force of fluid flow through the fluid path via apiezoelectric transducer and generating an electric signal based on thedetected force of fluid flow through the fluid path. The method alsoincludes the steps of comparing the generated signal to a predeterminedrange and modifying output of energy from the energy source based on thecomparison between the detected force of fluid flow through the fluidpath and the predetermined range.

BRIEF DESCRIPTION OF THE DRAWINGS

The above and other aspects, features, and advantages of the presentdisclosure will become more apparent in light of the following detaileddescription when taken in conjunction with the accompanying drawings inwhich:

FIG. 1 shows a diagram of a microwave antenna assembly in accordancewith an embodiment of the present disclosure;

FIG. 2 shows a perspective view of a distal end of the microwave antennaassembly of FIG. 1;

FIG. 3 shows a cross-sectional view of a proximal end of the microwaveantenna assembly of FIG. 1;

FIG. 4 shows a system block diagram of a microwave antenna assemblyaccording to another embodiment of the present disclosure;

FIG. 5A shows a system block diagram of a microwave antenna assemblyaccording to another embodiment of the present disclosure; and

FIG. 5B shows the area of detail of FIG. 5A according to an embodimentof the present disclosure.

DETAILED DESCRIPTION

Embodiments of the presently disclosed apparatus are described in detailbelow with reference to the drawings wherein like reference numeralsidentify similar or identical elements in each of the several views. Inthe discussion that follows, the term “proximal” will refer to theportion of a structure that is closer to a user, while the term “distal”will refer to the portion of the structure that is farther from theuser.

Generally, the present disclosure is directed to a microwave antennaassembly having an energy source or generator adapted to deliver energyto tissue via the antenna assembly and a coolant source for circulatinga dielectric coolant fluid through the microwave antenna assembly. Moreparticularly, the present disclosure is directed to monitoring fluidflow through the microwave antenna assembly and controlling the energysource output based on the monitored fluid flow to prevent damage to theantenna and/or harm to the clinician or patient caused by overheating ofthe antenna assembly.

FIG. 1 shows a microwave ablation system 10 that includes a microwaveantenna assembly 12 coupled to a microwave generator 14 via a flexiblecoaxial cable 16. The generator 14 is configured to provide microwaveenergy at an operational frequency from about 300 MHz to about 6000 MHz,although other suitable frequencies are also contemplated.

In the illustrated embodiment, the antenna assembly 12 includes aradiating portion 18 connected by feedline 20 (or shaft) to the cable16. More specifically, the antenna assembly 12 is coupled to the cable16 through a handle enclosure 22 having an outlet fluid port 30 and aninlet fluid port 32 that are connected in fluid communication with asheath 38. The sheath 38 encloses radiating portion 18 and feedline 20to form a chamber 89 (FIG. 2) allowing a coolant fluid 37 to circulateabout the antenna assembly 12. The ports 30 and 32 are also coupled to asupply pump 34 via supply lines 88 and 86, respectively. Supply pump 34is, in turn, coupled to a supply tank 36 via a supply line 87. Thesupply pump 34 may be a peristaltic pump or any other suitable type. Thesupply tank 36 stores the coolant fluid 37 and, in one embodiment, maymaintain the fluid 37 at a predetermined temperature. More specifically,the supply tank 36 may include a coolant unit that cools the returningliquid from the antenna assembly 12. In another embodiment, the coolantfluid 37 may be a gas and/or a mixture of fluid and gas.

FIG. 2 illustrates the radiating portion 18 of the antenna assembly 12having a dipole antenna 40. The dipole antenna 40 is coupled to thefeedline 20 that electrically connects antenna assembly 12 to thegenerator 14. The dipole antenna 40 includes a proximal portion 42 and adistal portion 45 interconnected at a feed point 46. The distal portion45 and the proximal portion 42 may be either balanced (e.g., of equallengths) or unbalanced (e.g., of unequal lengths). A dipole feed gap “G”is disposed between the proximal and distal portions 42 and 45 at thefeed point 46. The gap “G” may be from about 1 mm to about 3 mm. In oneembodiment, the gap “G” may be thereafter filled with a dielectricmaterial at the feed point 46. The dielectric material may bepolytetrafluoroethylene (PTFE), such as Teflon® sold by DuPont ofWillmington, Del. In another embodiment, the gap “G” may be coated witha dielectric seal coating. The antenna assembly 12 also includes a choke60 disposed around the feedline 20. The choke 60 may be aquarter-wavelength shorted choke that is shorted to the feedline 20 atthe proximal end (not illustrated) of the choke 60 by soldering or othersuitable methods.

Assembly 12 also includes a tip 48 at a distal end of the radiatingportion 18 having a tapered end 24 that terminates, in one embodiment,at a pointed end 26 to allow for insertion into tissue with minimalresistance. In those cases where the radiating portion 18 is insertedinto a pre-existing opening, tip 48 may be rounded or flat. The tip 48may be formed from a variety of heat-resistant materials suitable forpenetrating tissue, such as metals (e.g., stainless steel) and variousthermoplastic materials, such as poletherimide, and polyamidethermoplastic resins.

FIG. 3 illustrates a cross-sectional view of the handle enclosure 22 ofFIG. 1. Handle enclosure 22 houses an outflow chamber 52 disposed distalto an inflow chamber 54. Outflow chamber 52 and inflow chamber 54 are influid communication through an interconnecting lumen 56 that extendsdistally from a distal end of inflow chamber 54 and that houses at leasta portion of the longitudinal length of feedline 20 and/or radiatingportion 18. As shown in FIG. 3, feedline 20 extends distally throughinterconnecting lumen 56 through outflow chamber 52 and into inflowchamber 54. Outflow chamber 52 is in fluid communication with outletfluid port 30 and inflow chamber 54 is in fluid communication with inletfluid port 32. A return lumen 58 is disposed along at least alongitudinal portion of feedline 20 to surround at least a portion ofinterconnecting lumen 56 and provides fluid communication betweenchamber 89 and outflow chamber 52 to return coolant fluid 37 fromchamber 89 to the pump 34 via outlet fluid port 30.

A distal insert 80 is disposed within outflow chamber 52 and surroundsfeedline 20 along at least a portion of the longitudinal length thereof.Insert 80 is disposed at a distal end of outflow chamber 52 and definesa distal cap 81 that fluidly seals a distal end of handle enclosure 22to prevent contaminants from entering handle enclosure 22 throughoutflow chamber 52. Insert 80 includes a recessed portion 82 about whichan o-ring 84 is disposed to fluidly seal a portion of outflow chamber 52that is disposed distal to outlet fluid port 30, as shown in FIG. 3.

A proximal insert 90 is disposed within inflow chamber 54 and surroundsfeedline 20 along at least a portion of the longitudinal length thereof.Insert 90 abuts a proximal end of the inflow chamber 54 and includes arecessed portion 92 about which an o-ring 94 is disposed to fluidly seala portion of inflow chamber 54 that is disposed proximal to inlet fluidport 32.

During circulation of coolant fluid 37 throughout antenna assembly 12,there exists a fluid pressure differential between the outflow chamber52 and the inflow chamber 54. In particular, fluid pressure within theinflow chamber 54 (e.g., about 50 psi) is typically greater than fluidpressure within the outflow chamber 52 (e.g., about 0 psi). The flow ofcoolant fluid 37 through antenna assembly 12 may be monitored by sensingthe fluid pressure that exists within the inflow chamber 54 to ensureadequate circulation of coolant fluid 37 within antenna assembly 12during operation thereof, as will be described in more detail below.

A piezoelectric transducer 112 may be disposed between insert 90 and anabutment portion 114 of handle enclosure 22 such that transducer 112abuts at a distal end the insert 90 and at a proximal end the abutmentportion 114. Piezoelectric transducer 112 includes a suitable activematerial (e.g., piezoelectric ceramic, crystal, etc.) disposed between apair of conductive elements (not explicitly shown) that generates avoltage when a mechanical stress is imparted thereon. The generatedvoltage between the conductive elements operates to mechanically deformthe active material, thereby generating an electric field or electricsignal. In this manner, transducer 112 may operate as a sensingcomponent as well as a transmitting component. Transducer 112 transmitsthe electric signal to the generator 14 through any suitable electricalconnection and, based on the received electric signal, the generator 14automatically controls the operation of the ablation system 10, asdiscussed in greater detail below.

Since the components of inflow chamber 54 (e.g., insert 90) are notmechanically locked in place, the fluid pressure within inflow chamber54 operates to impart a force substantially equally in all directionswithin inflow chamber 54 including in the proximal direction depicted bydirectional arrow “A” in FIG. 3. For example, the fluid pressuregenerated by coolant fluid 37 imparts a force on insert 90 in thedirection of directional arrow “A” that is substantially equal to thefluid pressure within inflow chamber 54. This force imparted on insert90 causes insert 90, in turn, to impart a substantially equal force ontransducer 112 in the direction of arrow “A”. In response thereto,transducer 112 generates an electric field or signal to the generator 14for controlling operation of the ablation system 10, as described infurther detail below. In some embodiments, handle enclosure 22 mayinclude any suitable mechanical components (e.g., ribs, inserts,washers, gaskets, buffers, locking components, grooves, springs,linkages, etc.) adapted to suppress or eliminate the effects ofextraneous or ancillary forces (e.g., forces other than those describedabove) that may be transferred to or imparted on transducer 112 such as,for example, forces generated by the insertion and/or extraction ofantenna assembly 12 relative to tissue. In this manner, forces impartedon and sensed by the transducer 112 are true to the fluid pressurewithin inflow chamber 54 due to the above-described suppression and/orelimination of extraneous forces.

With reference to FIG. 4, a microwave ablation system, shown generallyas 200, according to an embodiment of the present disclosure isdepicted. The system 200 includes an ablation device 202 having anantenna 203 and a handle 205 used to ablate tissue. A generator 206,which is substantially similar to power generating source 28, suppliesthe ablation device 202 with energy via coaxial cable 204. Ablationdevice is supplied with coolant or fluid from coolant supply 210 throughinflow conduit 208 a. The coolant fluid 37 flows through the ablationdevice 202 as described above and exits the ablation device via outflowconduit 208 a into chamber 214. In some embodiments, conduits 208 a and208 b may be replaced by a single multi-lumen conduit (not shown) havingan inflow lumen for supplying the ablation device 202 with coolant andan outflow lumen for coolant to exit the ablation device 202 into thechamber 214.

As shown in FIG. 4, the microwave ablation system 200 includes apiezoelectric transducer 212 disposed in the handle 205 and configuredto sense fluid pressure, as described above with respect to theembodiment of FIG. 3, for monitoring the flow rate of fluid throughablation system 200. As described above, when coolant circulation isinterrupted, the ablation device tends to exhibit rapid failures.Further, when coolant circulation is too great and/or the flow rate offluid exceeds a predetermined threshold maximum (e.g., 100 ml/min, 130ml/min, etc.), the ablation device may be exhibiting symptoms of a fluidleak. By monitoring the flow of coolant fluid 37 through microwaveablation system 200, damage to the ablation device may be prevented.

Controller 216 is coupled to generator 206 and is configured to controlgenerator 206 based on an input or signal received from transducer 212.Controller 216 may be a microprocessor or any suitable logic circuitable to receive an input or signal from transducer 212 and provide anoutput to control generator 206. Controller 216 may be operably coupledto a storage device or memory (not shown) configured to storeprogrammable instructions, historical data, lookup tables, operatingparameters, etc.

Transducer 212 may be a single device or an array of devices configuredto detect operational parameters of the ablation device 202 in order todetermine if the microwave ablation system 200 is functioning properly.In use, transducer 212 provides an electrical signal to the controller216 that represents a real-time measurement or indication of fluidpressure. In some embodiments, a suitable time delay may be utilized bytransducer 212 in sending the electrical signal to controller 216 suchthat momentary pressure transients that may occur during initialpressurization of system 200 are ignored. Controller 216 compares theelectrical signal to a predetermined range. If the electrical signal iswithin the predetermined range, the controller 216 controls thegenerator 206 to continue with the ablation procedure and/or the supplyablation energy to ablation device 202. If the electrical signal isoutside the predetermined range, the controller 216 controls thegenerator 206 to cease the ablation procedure and/or modify generator206 output. For example, the predetermined range may be a range of fluidpressures within inflow chamber 54 (See FIG. 3) or through conduit 208 a(See FIG. 5A). In one embodiment, the predetermined range of fluidpressure requirements is between about 25 psi and about 100 psi. In thisscenario, the operating range of fluid pressure may be between about 35psi and about 40 psi.

Transducer 212 may be incorporated into ablation device 202, as depictedby the illustrated embodiment, or may be coupled to ablation device 202and/or controller 216. Transducer 212 may be placed anywhere along thefluid path of ablation system 200. For instance, transducer 212 may beplaced in antenna 203, handle 205, or along the inflow conduit 208 a(See FIG. 5A). The transducer 212 is configured to detect fluid pressurecaused by fluid flow during startup (e.g., before microwave energy isdelivered to the ablation device 202) or during an ablation procedure.

In another embodiment shown in FIG. 5A, piezoelectric transducer 212 isoperably coupled to inflow conduit 208 a to sense fluid pressuretherethrough. In this scenario, transducer 212 is configured to operatein conjunction with microwave ablation system 200 as substantiallydescribed above with reference to FIG. 4 and will only be described tothe extent necessary to explain the differences between the embodiments.In particular, as shown in FIG. 5B, transducer 212 is disposed within acylinder 209 in fluid communication with inflow conduit 208 a. In theillustrated embodiment, for example, cylinder 209 may be disposedsubstantially perpendicular to the fluid flow within inflow conduit 208a. When sufficient fluid flow exists through inflow conduit 208 a, asdepicted by directional arrows in FIG. 5B, coolant fluid 37 flows intocylinder 209 to impart a force on an insert or piston membrane 215,thereby causing piston membrane 215 to move within cylinder andtranslate a corresponding force on transducer 212. Piston membrane 215may be substantially equal in diameter to the inner periphery ofcylinder 209 to facilitate sliding movement of piston membrane 215within cylinder 209 in a so-called “cylinder-piston” relationship. Thatis, piston membrane 215 may slide within cylinder 209 and generate afriction force on the inner surface of cylinder 209. As described abovewith respect to the embodiment of FIG. 4, transducer 212 provides anelectrical signal to the controller 216 that represents a real-timemeasurement or indication of fluid pressure. Controller 216 is coupledto generator 206 and is configured to control generator 206 based on thesignal received from transducer 212.

The described embodiments of the present disclosure are intended to beillustrative rather than restrictive, and are not intended to representevery embodiment of the present disclosure. Various modifications andvariations can be made without departing from the spirit or scope of thedisclosure as set forth in the following claims both literally and inequivalents recognized in law.

What is claimed is:
 1. A microwave antenna assembly, comprising: ahandle including an abutment portion and housing a first fluid chamberdisposed distal to the abutment portion and a second fluid chamberdisposed distal to the first fluid chamber; a feedline extending throughthe handle and configured to deliver microwave energy to tissue; a fluidlumen surrounding the feedline and configured to receive a coolantfluid, the fluid lumen disposed in fluid communication with the firstfluid chamber; and a piezoelectric transducer disposed within the handlebetween the abutment portion and the first fluid chamber and configuredto abut the abutment portion and detect a force of fluid flow throughthe first fluid chamber.
 2. The microwave antenna assembly according toclaim 1, wherein the feedline extends through the first and second fluidchambers.
 3. The microwave antenna assembly according to claim 1,wherein the first fluid chamber is in fluid communication with thesecond fluid chamber.
 4. The microwave antenna assembly according toclaim 1, further comprising a movable insert disposed within the firstfluid chamber and configured to impart a force on the piezoelectrictransducer.
 5. The microwave antenna assembly according to claim 1,further comprising a return lumen disposed along at least a portion ofthe feedline to provide fluid communication between the fluid lumen andthe second fluid chamber.
 6. The microwave antenna assembly according toclaim 1, wherein the first fluid chamber is configured to receivecooling fluid from a fluid source and the second fluid chamber isconfigured to deliver cooling fluid from the microwave antenna assemblyto the fluid source.
 7. The microwave assembly according to claim 1,wherein the feedline includes an inner conductor, an outer conductordisposed about the inner conductor, and a dielectric material disposedbetween the inner conductor and the outer conductor.
 8. The microwaveantenna assembly according to claim 7, wherein the inner conductor isdisposed within the fluid lumen.
 9. The microwave antenna assemblyaccording to claim 1, further comprising an insert disposed within thesecond fluid chamber and configured to fluidly seal a distal portion ofthe handle.
 10. The microwave antenna assembly according to claim 1,further comprising an interconnecting fluid lumen surrounding thefeedline and configured to provide fluid communication between the firstand second fluid chambers.
 11. A microwave antenna assembly, comprising:a handle; a first fluid chamber disposed within the handle; a secondfluid chamber disposed within the handle distal to and in fluidcommunication with the first fluid chamber; a feedline extending throughthe first and second fluid chambers and configured to deliver microwaveenergy to tissue; a fluid lumen surrounding a portion of the feedlineand configured to receive a coolant fluid, the fluid lumen in fluidcommunication with the first fluid chamber; and a piezoelectrictransducer disposed within the handle between the first fluid chamberand an abutment portion of the handle disposed proximal to the firstfluid chamber, the piezoelectric transducer configured to detect a forceof fluid flow through the first chamber.
 12. The microwave antennaassembly according to claim 11, wherein the fluid lumen is disposedbetween the feedline and a sheath surrounding at least a portion of thefeedline.
 13. The microwave antenna assembly according to claim 11,further comprising an interconnecting fluid lumen surrounding a portionof the feedline and configured to provide fluid communication betweenthe first and second fluid chambers.
 14. The microwave antenna assemblyaccording to claim 11, further comprising a movable insert disposedwithin the first fluid chamber and configured to impart a force on thepiezoelectric transducer.
 15. The microwave antenna assembly accordingto claim 11, further comprising a return lumen disposed along at least aportion of the feedline to provide fluid communication between the fluidlumen and the second fluid chamber.
 16. A handle for a microwave antennaassembly, comprising: an abutment portion; a first fluid chamberdisposed distal to the abutment portion and proximal to and in fluidcommunication with a second fluid chamber; a fluid lumen configured toreceive a coolant fluid for cooling a feedline, the fluid lumen in fluidcommunication with the first fluid chamber; and a piezoelectrictransducer disposed between the abutment portion and the first fluidchamber within the handle and configured to abut the abutment portionand detect a force of fluid flow through the first chamber.